Myocardial infarction in a young female with reninoma induced hypertension and myocardial bridging

Abstract

We present a case of myocardial infarction in a young female with reninoma induced hypertension and myocardial bridging. Reninoma is a rare and curable cause of secondary hypertension. Currently developed multi-detector computed tomography (MDCT) has permitted better evaluation of myocardial infarction and myocardial bridging. Myocardial infarction associated with reninoma and myocardial bridging has not been reported, and we report this interesting case.

Incidence and clinical significance of myocardial bridging with ECG-gated 16-row MDCT coronary angiography

“…The prevalence is much higher in the autopsy than angiography, although it varies substantially among studies [1][2][3]. It has been associated with myocardial ischemia, myocardial infarction, arrythmia, and sudden death [4,5]. Even though this anomaly has excellent prognosis with 5-year survival of greater than 97% [6], early diagnosis and treatment are important due to the complications associated with myocardial bridging.…”

“…Even though this anomaly has excellent prognosis with 5-year survival of greater than 97% [6], early diagnosis and treatment are important due to the complications associated with myocardial bridging. Diagnosis of myocardial bridging is made possible with the tunneled segment and its systolic compression on the catheter angiogram, intravascular ultrasound, intracoronary Doppler ultrasound [2][3][4][5][6][7][8][9]. However, these procedures are invasive.…”

A case of reninoma with variant angina

“…Although myocardial infarction associated with reninoma and myocardial bridging has been reported previously [9] , there are no case of variant angina associated with reninoma. In the present case, the patient experienced chest pain of acute onset and was diagnosed with variant angina.…”